Addition of Bromocriptine to std antipyretic tx reduces time to fever resolution in the Neuro ICU vs the latter alone and reduced the use of TTM/NSAIDs. - Dr Satabdi Pulakanti #ClinicalTrials#NCS2023#Phoenix
I have only ever known you within the confines of this exam room in my office.
Years ago, you were sent to me for a consultation.
Understandably nervous, you had all your questions written out on a notepad in your spidery handwriting.
You believe in being organized. 1/
Calling all medical professionals and practitioners!
You are invited to ACEM 2023, the most vital emergency medicine event in the region, happening this April 28-30, 2023 at SMX Clark, Pampanga. See you there!
Register today at https://t.co/MY8PS6ULKp
#ACEM2023
ICU Infectious Disease Pearls and Pet Peeves-Part3: These are some extra points & random thoughts regarding commonly used antimicrobials & frequently encountered ID scenarios in the ICU. Comments from ID & Pharm friends are welcome as what I post comes from memory. Here it goes:
What's your opinion: 60 yo W w/DM, htn presents with 2 hours of facial droop, slurring speech, and hemiparesis; mild CP also, ECG shows anterior STEMI with reciprocal changes; dry CT head neg; HR 80, BP 150/90; what would you do first? no contraindications to tPA; #FOAMed
At this point, Ive started prescribing Molnupiravir to elderly outpatients with mild sx and at risk, especially those who are unvaxd. We dont have paxlovid yet, even the generic (bexovid), but has been approved by PH FDA.
🆕 NIH Guidelines for COVID-19 Treatment in High-Risk Patients (including immunocompromised) in the Outpatient Setting
Outpatient Rx Recommendations:
1️⃣ Paxlovid PO
2️⃣ Sotrovimab IV
3️⃣ Remdesivir IV
4️⃣ Molnupiravir PO
#RheumTwitter#IDTwitter#Omicron
Volume status & outcome on VV #ECMO: VV ECMO survivors had a significantly more negative CFB during the first 7 days of veno-venous #ECLS, and cumulative fluid balance identified independent predictor of 90 day mortality in this @asaiojournal study. https://t.co/FQ7KcJQtlN
Prone positioning on VV #ECMO for severe #ARDS: in this large analisys including 889 pts from 5 studies comparing conventional management (supine position) vs proning, PP not significantly associated with reduced ICU mortality.
@Crit_Care#FOAMcc#FOAMecmo
https://t.co/JpYWcdyWD9